9,305 results match your criteria Clinical pediatrics[Journal]


Fever and Altered Mental Status in an Adolescent Male With Burkitt Lymphoma.

Clin Pediatr (Phila) 2019 Apr 21:9922819844294. Epub 2019 Apr 21.

1 Saint Louis University, St Louis, MO, USA.

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http://dx.doi.org/10.1177/0009922819844294DOI Listing
April 2019
1 Read

An Unknown Mode of Transmission of Oral Ulcers in a Neonate.

Clin Pediatr (Phila) 2019 Apr 21:9922819844287. Epub 2019 Apr 21.

1 Children's Hospital New Orleans, New Orleans, LA, USA.

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http://dx.doi.org/10.1177/0009922819844287DOI Listing

Impact of Respiratory Syncytial Virus-Confirmed Hospitalizations on Caregivers of US Preterm Infants.

Clin Pediatr (Phila) 2019 Apr 21:9922819843639. Epub 2019 Apr 21.

5 AstraZeneca, Gaithersburg, MD, USA.

This study assessed the impact of respiratory syncytial virus-confirmed hospitalizations (RSVH) on caregivers of high-risk preterm infants. Caregivers for infants born at 29 to 35 weeks' gestational age and hospitalized for confirmed RSV disease responded to measures of self-rated and perceived infant stress (1-7; 7 = very stressful), perceived infant health (0-100; 100 = best imaginable health), and productivity impairment. Data were collected at hospital discharge through 1 month post-discharge. Read More

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http://dx.doi.org/10.1177/0009922819843639DOI Listing
April 2019
1 Read

Deformations of the Ear and Their Nonsurgical Correction.

Clin Pediatr (Phila) 2019 Apr 21:9922819844296. Epub 2019 Apr 21.

2 Children's Hospital of Philadelphia, PA, USA.

The incidence of congenital ear deformities has been documented to be as high as 58% of all newborns. Unfortunately, the majority of these deformations do not spontaneously self-correct, leaving the child with a permanent deformity that can only be corrected through surgery. With the evolving simplicity of ear molding that can be done in the office, this can obviate the need for unnecessary surgery that comes with its own set of complications and a higher cost. Read More

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http://dx.doi.org/10.1177/0009922819844296DOI Listing

Procalcitonin to Identify Neoplastic Inflammation.

Clin Pediatr (Phila) 2019 Apr 17:9922819843630. Epub 2019 Apr 17.

1 Tulane University, New Orleans, LA, USA.

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http://dx.doi.org/10.1177/0009922819843630DOI Listing

Incorporating Clinical Associations of Domestic Minor Sex Trafficking Into Universal Screening of Adolescents.

Clin Pediatr (Phila) 2019 Apr 17:9922819843618. Epub 2019 Apr 17.

1 Hasbro Children's Hospital, Providence, RI, USA.

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http://dx.doi.org/10.1177/0009922819843618DOI Listing

Evaluation of the Impact of 2 Disposable Diapers in the "Natural" Diaper Category on Diapered Skin Condition.

Clin Pediatr (Phila) 2019 Apr 9:9922819841136. Epub 2019 Apr 9.

1 The Procter & Gamble Company, Cincinnati, OH, USA.

The demand for natural infant care products, including diapers, has increased. However, few disposable diapers have been able to provide the performance caregivers desire while also incorporating ingredients consistent with the "natural" category. In an examiner-blinded clinical study, the performance of a new cotton-enhanced diaper with high-performance materials was compared with an existing natural diaper offering. Read More

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http://journals.sagepub.com/doi/10.1177/0009922819841136
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http://dx.doi.org/10.1177/0009922819841136DOI Listing
April 2019
7 Reads

Child Life Specialists' Experiences Addressing Social Determinants of Health: A Web-Based Survey.

Clin Pediatr (Phila) 2019 Apr 2:9922819839233. Epub 2019 Apr 2.

5 Department of Child Life Services, Boston Children's Hospital, Boston, MA, USA.

We used Google Forms to survey 110 child life specialists on their experiences addressing family psychosocial issues. Most respondents were female (99%) and white (95%), with mean age 34 ± 10 years. Ninety-five percent reported addressing family psychosocial issues during the previous 3 months, including parental separation/divorce (71%), poverty/financial needs (64%), parental mental illness (59%), substance abuse at home (54%), homelessness/housing problems (54%), bullying (49%), physical neglect (46%), physical abuse (46%), unemployment (46%), emotional neglect (45%), and hunger/food insecurity (42%). Read More

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http://dx.doi.org/10.1177/0009922819839233DOI Listing

Improving Developmental Screening, Discussion, and Referral in Pediatric Practice.

Clin Pediatr (Phila) 2019 Apr 2:9922819841017. Epub 2019 Apr 2.

4 University of Tennessee Health Science Center, Memphis, TN, USA.

Objective: Although pediatricians' use of standardized screening tools for identifying developmental delays has increased, only 63% of pediatricians report performing standardized screening as recommended. The purpose of the current quality improvement project was to improve developmental monitoring, screening, and referral for developmental concerns by pediatricians.

Method: Twenty-eight pediatricians completed an in-person meeting, monthly webinars, and individualized feedback from an Expert Work Group on progress across a 3-month action period. Read More

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http://dx.doi.org/10.1177/0009922819841017DOI Listing
April 2019
3 Reads

Febrile Neutropenia in an Infant.

Clin Pediatr (Phila) 2019 Apr 2:9922819841020. Epub 2019 Apr 2.

1 Ochsner Children's Hospital, New Orleans, LA, USA.

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http://dx.doi.org/10.1177/0009922819841020DOI Listing
April 2019
1 Read

A Sheep in Wolf's Clothing.

Clin Pediatr (Phila) 2019 Apr 2:9922819841140. Epub 2019 Apr 2.

2 Ochsner Children's Hospital, New Orleans, LA, USA.

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http://dx.doi.org/10.1177/0009922819841140DOI Listing

Neonatal Eating Assessment Tool-Bottle-Feeding: Norm-Reference Values for Infants Less Than 7 Months Old.

Clin Pediatr (Phila) 2019 Apr 2:9922819839234. Epub 2019 Apr 2.

2 University of North Carolina at Chapel Hill, NC, USA.

The Neonatal Eating Assessment Tool (NeoEAT)-Bottle-feeding is a parent-report assessment of bottle-feeding behavior in infants less than 7 months old with evidence of validity and reliability. The purpose of this study was to establish norm-reference values to guide score interpretation and clinical decision making. Parents of 478 healthy, typically developing infants completed the NeoEAT-Bottle-feeding. Read More

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http://journals.sagepub.com/doi/10.1177/0009922819839234
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http://dx.doi.org/10.1177/0009922819839234DOI Listing
April 2019
5 Reads

A Group Visit for High-Risk Pediatric Asthma Patients: A Quality Improvement Initiative to Improve Asthma Care.

Clin Pediatr (Phila) 2019 Apr 2:9922819839238. Epub 2019 Apr 2.

1 Boston Children's Hospital, Boston, MA, USA.

Introduction: Asthma disproportionately affects poor and minority children. Limited parental knowledge and confidence in asthma management, as well as stress from chronic illness, may contribute to poor outcomes. Novel approaches for providing care are essential for this vulnerable population. Read More

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http://dx.doi.org/10.1177/0009922819839238DOI Listing
April 2019
3 Reads

Children With Autism Spectrum Disorder and Lead Poisoning: Diagnostic Challenges and Management Complexities.

Clin Pediatr (Phila) 2019 Apr 2:9922819839237. Epub 2019 Apr 2.

1 Boston Children's Hospital, Boston, MA, USA.

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http://dx.doi.org/10.1177/0009922819839237DOI Listing
April 2019
1 Read

Addressing Pain With Inpatient Integrative Medicine at a Large Children's Hospital.

Clin Pediatr (Phila) 2019 Mar 31:9922819839232. Epub 2019 Mar 31.

1 Baylor College of Medicine, Houston, TX, USA.

Background: Pediatric integrative medicine (IM) includes the use of therapies not considered mainstream to help alleviate symptoms such as pain and anxiety. These therapies can be provided in the inpatient setting.

Methods: This 10-week study involved the integration of acupuncture, biofeedback, clinical hypnotherapy, guided imagery, meditation, and music therapy to address pain in children admitted to a large US children's hospital. Read More

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http://dx.doi.org/10.1177/0009922819839232DOI Listing
March 2019
1 Read

Pediatric Patient Compliance With Recommendations for Acute Concussion Management.

Clin Pediatr (Phila) 2019 Mar 31:9922819839230. Epub 2019 Mar 31.

1 Children's National Health System, Washington, DC, USA.

Emerging evidence supports an active approach for acute pediatric concussion management. The current practices of pediatric emergency providers following acute concussions has not been well studied. We prospectively enrolled 134 pediatric patients with an acute concussion. Read More

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http://dx.doi.org/10.1177/0009922819839230DOI Listing
March 2019
3 Reads

C-Reactive Protein and Ferritin Are Associated With Organ Dysfunction and Mortality in Hospitalized Children.

Clin Pediatr (Phila) 2019 Mar 31:9922819837352. Epub 2019 Mar 31.

1 Department of Critical Care Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.

Our objective was to determine if C-reactive protein (CRP) and ferritin values alone and in combination are associated with mortality among hospitalized children. All hospitalized patients at our institution with a CRP or ferritin assay in 2015 and 2016 were included. Area under the receiver operating curves (AUROC) were examined, optimal cut-points determined, and patients were stratified into low-, intermediate-, or high-risk groups based on elevation of zero, one, or both biomarkers. Read More

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http://dx.doi.org/10.1177/0009922819837352DOI Listing

Effective Care Management for Children With Special Health Care Needs in the Era of Value-Based Payment.

Clin Pediatr (Phila) 2019 Mar 29:9922819839231. Epub 2019 Mar 29.

2 University of California, Irvine, CA, USA.

Objectives: To evaluate the impact of a pediatric-specific care coordination program for Medicaid children with special health care needs under a fully capitated payment model and assess whether sufficient savings can be achieved to offset the cost of the care coordination program.

Methods: 442 children with special health care needs, receiving health care under a Medicaid capitation payment program, were enrolled in a care coordination program. ED and inpatient utilization were measured for 1-year pre and post intervention. Read More

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http://dx.doi.org/10.1177/0009922819839231DOI Listing
March 2019
1.261 Impact Factor

Caregiver Assessment of Wheeze for Pediatric Pneumonia.

Clin Pediatr (Phila) 2019 Mar 29:9922819839242. Epub 2019 Mar 29.

1 Boston Children's Hospital, Boston, MA, USA.

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http://dx.doi.org/10.1177/0009922819839242DOI Listing
March 2019
1 Read

Training Residents in the Early Identification of Anxiety Disorders: Feasibility and Preliminary Efficacy of a Novel Training Program.

Clin Pediatr (Phila) 2019 Mar 27:9922819837356. Epub 2019 Mar 27.

5 Floating Hospital for Children, Boston, MA, USA.

Pediatric anxiety disorders are highly prevalent, but tend to go undetected as pediatricians often lack relevant training. We developed a brief, video-based training program for pediatric residents aimed at improving early identification of child anxiety disorders. The novel training was completed in a group-based format or via an online, asynchronous training program. Read More

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http://dx.doi.org/10.1177/0009922819837356DOI Listing

Age and Sex Differences in Overuse Injuries Presenting to Pediatric Sports Medicine Clinics.

Clin Pediatr (Phila) 2019 Mar 22:9922819837360. Epub 2019 Mar 22.

1 Nationwide Children's Hospital, Columbus, OH, USA.

Pediatric overuse injuries present with a gradual mechanism of onset and an underlying pathogenesis of microtrauma. We evaluated the clinical presentation of pediatric sports injuries to determine if differences exist between age and sex. A retrospective chart review was performed over a 6-year period; 6593 overuse injuries were included with the mean age of 13. Read More

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http://dx.doi.org/10.1177/0009922819837360DOI Listing
March 2019
4 Reads

An 11-Month-Old Male With Acute-Onset Left-Sided Facial Paralysis.

Clin Pediatr (Phila) 2019 May 22;58(5):594-598. Epub 2019 Mar 22.

1 University of Florida, Gainesville, FL, USA.

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http://dx.doi.org/10.1177/0009922819837354DOI Listing

A Case of Fever, Rash, and a Painful Limb in an Infant.

Clin Pediatr (Phila) 2019 Mar 20:9922819837368. Epub 2019 Mar 20.

1 Nationwide Children's Hospital, Columbus, OH, USA.

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http://dx.doi.org/10.1177/0009922819837368DOI Listing

Use of Telehealth to Enhance Care in a Family-Centered Childhood Obesity Intervention.

Clin Pediatr (Phila) 2019 Mar 20:9922819837371. Epub 2019 Mar 20.

2 Massachusetts General Hospital for Children, Boston, MA, USA.

Family-centered childhood obesity interventions have been found to be effective. We describe the use of telehealth for tailored behavior change support in a family-centered randomized trial. Children of 2 to 12 years with body mass index ≥85th percentile were randomized to Enhanced Primary Care (EPC) or Enhanced Primary Care + Coaching (EPC + C). Read More

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http://dx.doi.org/10.1177/0009922819837371DOI Listing

Antibiotic Prescribing in Outpatient Children: A Cohort From a Clinical Data Warehouse.

Clin Pediatr (Phila) 2019 Mar 19:9922819834278. Epub 2019 Mar 19.

1 Boston University, Boston, MA, USA.

Aim: To characterize antibiotic (ab) prescriptions in children.

Methods: Evaluation of outpatient ab prescriptions in a 3-year cohort of children in primary care using a data warehouse (Massachusetts Health Disparities Repository) by comorbid conditions, demographics, and clinical indication.

Results: A total of 15 208 children with nearly 120 000 outpatient visits were included. Read More

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http://dx.doi.org/10.1177/0009922819834278DOI Listing
March 2019
1 Read

Themes Depicted in Running-Related Films: An Opportunity for Co-Viewing and Active Mediation.

Clin Pediatr (Phila) 2019 Mar 17:9922819837369. Epub 2019 Mar 17.

3 Penn State Hershey Medical Center, Hershey, PA, USA.

Sport participation is an important part of the development of children and adolescents. The objective of this study was to identify and quantify themes depicted in a select number of running-related films. Thirty-one running-related films were independently viewed and analyzed by 4 reviewers. Read More

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http://dx.doi.org/10.1177/0009922819837369DOI Listing

A Survey About Fever Knowledge, Attitudes, and Practices Among Parents.

Clin Pediatr (Phila) 2019 Mar 15:9922819834276. Epub 2019 Mar 15.

1 Louisiana State University Health Sciences Center, New Orleans, LA, USA.

A 21-question survey was conducted among parents attending 4 pediatric outpatient practices to assess their knowledge, perceptions, and attitudes about fever. One hundred and ninety-seven surveys were included. Most commonly the participating parent was the mother. Read More

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http://dx.doi.org/10.1177/0009922819834276DOI Listing

Ready for the Challenge of Depression Care in the Medical Home.

Clin Pediatr (Phila) 2019 Mar 13:9922819834280. Epub 2019 Mar 13.

1 Washington University, St. Louis, MO, USA.

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http://dx.doi.org/10.1177/0009922819834280DOI Listing

Severe Anemia in the Newborn Nursery.

Clin Pediatr (Phila) 2019 Mar 13:9922819832639. Epub 2019 Mar 13.

1 Johns Hopkins Hospital, Baltimore, MD, USA.

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http://dx.doi.org/10.1177/0009922819832639DOI Listing

Dexamethasone Associated With Significantly Shorter Length of Hospital Stay Compared With a Prednisolone-Based Regimen in Pediatric Patients With Mild to Moderate Acute Asthma Exacerbations.

Clin Pediatr (Phila) 2019 May 10;58(5):521-527. Epub 2019 Mar 10.

1 Dell Children's Medical Center of Central Texas, Austin, TX, USA.

A retrospective chart review was done to evaluate the efficacy of a course of dexamethasone for pediatric patients hospitalized with a mild to moderate acute asthma exacerbation compared with a prednisone-based regimen. Patients were identified based on International Classification of Diseases (ICD-9 and ICD-10) discharge diagnosis codes for asthma and cross-referenced with pharmacy dispense reports during the study period of June 2011 to January 2016. Baseline characteristics were similar among the 2 groups. Read More

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http://journals.sagepub.com/doi/10.1177/0009922819832091
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http://dx.doi.org/10.1177/0009922819832091DOI Listing
May 2019
3 Reads

Characteristics of Children Referred to a Lipid Clinic Before and After the Universal Screening Guidelines.

Clin Pediatr (Phila) 2019 Mar 10:9922819834282. Epub 2019 Mar 10.

1 Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA.

In 2011, universal lipid screening was recommended for children aged 9 to 11 years; the impact of this recommendation on the lipid clinic setting is unknown. We examined the rate of primary and secondary dyslipidemia diagnoses in a lipid clinic before (2010-2011) and after (2012-2015) the guideline recommendation. We conducted a retrospective study of new clinic patients aged 0 to 20 years seen between April 2010 and April 2015. Read More

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http://dx.doi.org/10.1177/0009922819834282DOI Listing

Pearson Syndrome: A Rare Cause of Failure to Thrive in Infants.

Clin Pediatr (Phila) 2019 Mar 7:9922819834285. Epub 2019 Mar 7.

1 University Hospitals Cleveland Medical Center, Cleveland, OH, USA.

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http://dx.doi.org/10.1177/0009922819834285DOI Listing
March 2019
2 Reads

Thenar Muscle Oxygen Saturation Levels: A Surrogate for Central Venous Oxygen Saturation?

Clin Pediatr (Phila) 2019 May 6;58(5):528-533. Epub 2019 Mar 6.

2 UF Health Shands Children's Hospital, Gainesville, FL, USA.

Purpose: Shock is associated with increased tissue oxygen extraction. Near-infrared spectroscopy-derived thenar muscle tissue oxygenation (StO) levels can provide an estimate of the oxygen supply-demand balance at the tissue level. We hypothesized that thenar StO levels would correlate with central venous oxygen saturation (ScvO) levels, the gold standard for global tissue oxygen extraction in the body. Read More

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http://dx.doi.org/10.1177/0009922819832094DOI Listing

Injury and Illness Depicted in Running-Related Films.

Clin Pediatr (Phila) 2019 Mar 6:9922819834281. Epub 2019 Mar 6.

2 Penn State Hershey Children's Hospital, Hershey, PA, USA.

The perception that children and adolescents have of injury and illness may be influenced by their depiction in sport-related films. The objective of this study was to determine the depiction of injury and illness in a select number of running-related films. A sample of 31 running-related films were analyzed, with a total of 77 injuries/illnesses depicted. Read More

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http://dx.doi.org/10.1177/0009922819834281DOI Listing
March 2019
4 Reads

An Infant With Recalcitrant Diaper Dermatitis.

Clin Pediatr (Phila) 2019 May 6;58(5):590-593. Epub 2019 Mar 6.

1 University of Washington, Seattle, WA, USA.

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http://dx.doi.org/10.1177/0009922819834277DOI Listing

Effective Implementation of Culturally Appropriate Tools in Addressing Overweight and Obesity in an Urban Underserved Early Childhood Population in Pediatric Primary Care.

Clin Pediatr (Phila) 2019 May 6;58(5):511-520. Epub 2019 Mar 6.

2 Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.

Overweight and obese children are at an increased risk of remaining obese. The American Academy of Pediatrics recommends addressing healthy habits at well-child checks, but this poses challenges, especially in low-income populations. A clinical innovation project was designed to adapt recommendations in a busy urban clinic and consisted of motivational interviewing, culturally tailored tools, and standardizing documentation. Read More

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http://dx.doi.org/10.1177/0009922819832088DOI Listing
May 2019
1 Read

Use of a School-Based Survey to Screen Students for Symptoms Concerning for Asthma.

Clin Pediatr (Phila) 2019 May 2;58(5):586-589. Epub 2019 Mar 2.

2 Boston Children's Hospital, Boston, MA, USA.

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http://dx.doi.org/10.1177/0009922819832087DOI Listing

Diagnostic Accuracy of Magnetic Resonance Imaging and Computed Tomography Scan in Young Athletes With Spondylolysis.

Clin Pediatr (Phila) 2019 Feb 27:9922819832643. Epub 2019 Feb 27.

2 Department of Orthopaedic Surgery, Harvard Medical School, Boston, MA, USA.

The objective of this study was to determine diagnostic accuracy of magnetic resonance imaging (MRI) and computed tomography (CT) scans in young athletes diagnosed with spondylolysis. A cross-sectional study was used. Twenty-two young athletes (14. Read More

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http://dx.doi.org/10.1177/0009922819832643DOI Listing
February 2019

Primary Care Providers Welcome Smartphone Apps That Assist in Pediatric Weight Management.

Clin Pediatr (Phila) 2019 Feb 27:9922819832642. Epub 2019 Feb 27.

1 Medical University of South Carolina, Charleston, SC, USA.

Primary care providers (PCPs) have few resources to manage their overweight/obese patients. The purpose of study was to determine if technological resources, such as smartphone apps, may be useful for weight management counseling. PCPs were surveyed about their current use of resources for obesity management and whether smartphone apps would be helpful. Read More

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http://dx.doi.org/10.1177/0009922819832642DOI Listing
February 2019

The Possibility of Early Discharge for Newborns Being Monitored for Neonatal Abstinence Syndrome Based on Modified Finnegan Score Distributions.

Clin Pediatr (Phila) 2019 Feb 27:9922819832022. Epub 2019 Feb 27.

1 Penn State Health Children's Hospital, Hershey, PA, USA.

We tested the hypothesis that Modified Finnegan Neonatal Scoring System (MFNSS) scores can guide early discharge at 72 hours for newborns at risk for neonatal abstinence syndrome (NAS). A retrospective cohort study with a primary outcome of early discharge of newborns at risk for NAS using mean MFNSS scores recorded before pharmacologic treatment was performed. Quantile regression was used to develop percentile curves of mean MFNSS scores. Read More

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http://dx.doi.org/10.1177/0009922819832022DOI Listing
February 2019
2 Reads

Factors Affecting Pediatric Dyslipidemia Screening and Treatment.

Clin Pediatr (Phila) 2019 May 22;58(5):502-510. Epub 2019 Feb 22.

2 Uniformed Services University of the Health Sciences, Bethesda, MD, USA.

Identification and management of dyslipidemia in childhood can reduce future cardiovascular risk. We performed a retrospective cohort study of children ages 2 to 18 years during 2009 to 2013 to evaluate factors that affect screening and treatment of pediatric dyslipidemia related to 2011 National Heart, Lung, and Blood Institute (NHLBI) guidelines. Logistic regression analysis determined the impact of NHLBI-identified factors on odds of being screened, elevated low-density lipoprotein cholesterol (LDL-C), and receiving pharmacotherapy. Read More

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http://dx.doi.org/10.1177/0009922819832068DOI Listing
May 2019
1 Read

Redefining the "Art of Medicine".

Clin Pediatr (Phila) 2019 May 21;58(5):497-501. Epub 2019 Feb 21.

1 The University of Chicago, Chicago, IL, USA.

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http://dx.doi.org/10.1177/0009922819832035DOI Listing

Curvilinear Alopecia in an Infant.

Clin Pediatr (Phila) 2019 Feb 21:9922819832033. Epub 2019 Feb 21.

1 University of North Carolina, Chapel Hill, NC, USA.

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http://dx.doi.org/10.1177/0009922819832033DOI Listing
February 2019

Should Children With Constipation Undergo Blood Lead Level Screening?

Clin Pediatr (Phila) 2019 Feb 21:9922819832029. Epub 2019 Feb 21.

1 Children's Hospital of Pittsburgh, Pittsburgh, PA, USA.

This study aimed to compare the prevalence of elevated blood lead level in children with constipation to the population prevalence. We reviewed the charts of 441 children who were screened with a blood lead level on presenting to the gastroenterology clinic at UPMC Children's Hospital of Pittsburgh for evaluation of constipation. The prevalence of blood lead level greater than 5 µg/dL was 1. Read More

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http://dx.doi.org/10.1177/0009922819832029DOI Listing
February 2019
2 Reads

Health Status of Children Enrolled in a Family Navigator Program to Eliminate Intergenerational Poverty.

Clin Pediatr (Phila) 2019 Feb 21:9922819832026. Epub 2019 Feb 21.

1 University of North Carolina, Chapel Hill, NC, USA.

In 2014, Family Success Alliance (FSA) was formed as a place-based initiative to build a pipeline of programs to reduce the impact of poverty on outcomes for children living in Orange County, North Carolina. In this study, FSA parents' perception of child health, parent and child adverse childhood experiences (ACEs), and resilience were obtained by parent interview. Receipt of recommended health services were abstracted from primary care medical records of FSA children. Read More

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http://dx.doi.org/10.1177/0009922819832026DOI Listing
February 2019
1 Read

Missed Opportunities in the Preparticipation Physical Examination for High School Athletes.

Clin Pediatr (Phila) 2019 May 21;58(5):547-554. Epub 2019 Feb 21.

1 University of Chicago, Chicago, IL, USA.

The preparticipation sports examination (PPE) is required for US high school athletes. We queried members of the Illinois Chapter of the American Academy of Pediatrics (ICAAP) about what they actually include in a PPE, allotted PPE time, and counseling about full contact sports participation. Of 2300 ICAAP members contacted electronically, 228 (10%) responded, yielding 205 usable surveys. Read More

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http://dx.doi.org/10.1177/0009922819832021DOI Listing

A Randomized Trial of a Self-Administered Parenting Intervention for Infant and Toddler Insomnia.

Clin Pediatr (Phila) 2019 Feb 19:9922819832030. Epub 2019 Feb 19.

1 Nationwide Children's Hospital, Columbus, OH, USA.

Self-administered treatments may overcome access barriers to evidence-based care for pediatric sleep problems. Two hundred thirty-nine families participated in a randomized controlled trial with 3 study arms: a DVD intervention condition (the Sleep Easy Solution), a Website comparison condition, and a Wait-List comparison condition. The primary outcome was trichotomous-Do you consider your child's sleep a problem? (not a problem at all, a small problem, a very serious problem). Read More

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http://dx.doi.org/10.1177/0009922819832030DOI Listing
February 2019

Discussions About Antibiotics During Adolescent Asthma Visits: Implications for Providers.

Clin Pediatr (Phila) 2019 May 19;58(5):564-570. Epub 2019 Feb 19.

1 University of North Carolina at Chapel Hill, NC, USA.

Children with asthma are exposed to antibiotics more frequently than their peers. The quality of provider-patient discussion about antibiotics is unknown. In this secondary data analysis, we reviewed existing transcripts of audiotaped adolescent asthma visits using a standardized coding sheet to analyze the quality of communication about antibiotics. Read More

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http://dx.doi.org/10.1177/0009922819829033DOI Listing

Effect of Instrument-Based Vision Screening for 3- to 5-Year-Old Children on Referrals to Eye Care Specialists.

Clin Pediatr (Phila) 2019 May 19;58(5):541-546. Epub 2019 Feb 19.

4 Children's Hospital Integrated Care Organization, Boston, MA, USA.

Recently, several professional groups have recommended a change from chart-based to instrument-based screening for preschool-age children, but the effect of this change on health care utilization is unknown. We performed a secondary analysis of a site-randomized quality improvement project on transitioning from chart-based to instrument-based vision screening for 3- to 5-year-old children in primary care. We analyzed visit rates to ophthalmologists and optometrists and costs of such care before and after implementation of instrument-based vision screening with comparison to nonparticipating practices. Read More

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http://dx.doi.org/10.1177/0009922819832020DOI Listing
May 2019
3 Reads